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General NPI Number Information
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NPI Number | 1801892328
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Entity Type | Individual
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Provider Name | ANJI A NEIL MD
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Gender | Female
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Dates
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Enumeration Date | 06/21/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2535 MAPLECREST RD STE 10
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City | BETTENDORF
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State | IA
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Zip | 52722-2799
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Country | US
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Telephone | 563-421-3200
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Fax | 563-421-3206
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Provider Business Mailing Address
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Address Line | 865 LINCOLN RD STE L10
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City | BETTENDORF
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State | IA
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Zip | 52722-4159
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Country | US
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Telephone | 563-355-9191
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Fax | 563-335-5341
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34197
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | IL
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